Pneumonia - more than just breathing difficulties

Pneumonia is one of the most common infectious diseases worldwide. It often begins with an ordinary cough and then slowly develops into an inflammation of the lower respiratory tract, which can be accompanied by fever, coughing, shortness of breath and chest pain. The symptoms of pneumonia are often non-specific, so that the disease is not always recognised immediately. Differentiating it from other infectious diseases or even bronchitis can be particularly difficult - our experts know all about it.

Älterer Mann mit Zigarette in der Hand am Husten
People over the age of 60 and smokers are particularly at risk of pneumonia.
(shutterstock)

Microbacterial, viral and non-infectious pneumonia

Pneumonia is usually caused by pathogens that infect the lung tissue and cause inflammation. The most common triggers are bacteria, but viruses can also cause pneumonia: influenza or Covid-19 viruses, for example, also cause pneumonia.

Non-infectious pneumonia, i.e. pneumonia not caused by pathogens, is less common. These occur, for example, after or in the case of pulmonary embolisms, cardiac insufficiency or swallowing disorders.

Pneumonia occurs mainly in the cold season. Between one and ten per cent of patients who contract it still die. It is important not to wait too long if your lungs rattle or hurt: the team at Bethesda Hospital will be happy to take care of your complaints.

Important to know

Find out everything you need to know about the clinical picture of pneumonia and find out about the various treatment options we offer.

How to recognise symptoms of pneumonia

Pneumonia often begins with a cough - this is usually dry at the beginning, later with sputum. Other symptoms include fever, which can sometimes be very high, chills, shortness of breath, chest pain, weakness, headaches and aching limbs. Older people in particular also experience atypical symptoms such as confusion and restlessness.

Are you unsure whether you have pneumonia? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

Recognising and clarifying pneumonia

Patients often ask themselves: How can I tell if I have pneumonia? Our experts clarify this step by step using various examinations if symptoms are present. The first step is always listening (medical auscultation) with a stethoscope to detect any rales in the lungs.

A blood test provides information about any signs of inflammation. In addition, so-called shadowing during X-rays of the lungs - sometimes a CT (computerised tomography) of the thorax (chest) is also necessary.

Blood or saliva cultures are taken to precisely identify the pathogens causing pneumonia. A urine test can also help to identify pneumococci or legionella-like bacteria - this is successful in a maximum of 50 % of cases. We will be happy to advise you in detail about your options.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

What can you do if you have pneumonia?

Pneumonia is usually treated with antibiotics, which are usually administered intravenously to the patient at the beginning. If the patient has a fever, it is also important to drink plenty of fluids - supportive infusions can prevent dehydration.

Oxygen administration is recommended for severe respiratory distress - inhalations, e.g. with saline solutions, are generally helpful. Physiotherapy with secretion mobilisation and respiratory gymnastics can also be very helpful.

The healing process of pneumonia can take anywhere from two weeks to three months, depending on the severity. It is very important to cure the infection properly so that it is not spread.

At Bethesda Hospital, we offer advice on various vaccinations that reduce the risk of pneumonia. These include the flu vaccination and the pneumococcal vaccination, both of which you can have at our hospital and which we recommend for people who are particularly at risk.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

Pneumonia = infectious disease no. 1

Pneumonia is the most common (registered) infectious disease worldwide. In Switzerland alone, between 70 and 80 thousand people contract pneumonia every year.

People over the age of 60 and smokers are particularly at risk. People with severe chronic illnesses such as renal insufficiency or weakness, heart failure, diabetes or pre-existing lung diseases are also at risk.

Are you unsure whether you suffer from heart failure? Then make an appointment for an examination!

Appointments by arrangement

For outpatient consultations: Tel. +41 61 315 20 56

For inpatient admissions: Tel. +41 61 315 20 57

FAQs zur Lungenentzündung

Wir haben die häufigsten Fragen rund um die Lungenentzündung zusammengetragen, beantwortet von unseren medizinischen Expertinnen und Experten.

Haben Sie weitere Fragen, die Sie hier nicht beantwortet finden? Sie können uns dazu gerne kontaktieren – wir sind gerne für Sie da.

Oft beginnt eine Lungenentzündung mit Husten – dieser ist zu Beginn meistens trocken, später mit Auswurf. Weitere Symptome sind Fieber, das teilweise sehr hoch werden kann, Schüttelfrost, Atemnot, Brustschmerzen, Schwäche sowie Kopf- und Gliederschmerzen. Gerade bei älteren Personen treten auch atypische Symptome wie Verwirrtheit und Unruhe auf.

Eine Lungenentzündung wird in der Regel mit Antibiotika behandelt, die der Patientin oder dem Patienten zu Beginn meistens intravenös verabreicht wird. Bei Fieber ist es ausserdem wichtig, viel Flüssigkeit zu sich zu nehmen – unterstützende Infusionen können einer Dehydration vorbeugen.

Bei schwerer Atemnot ist eine Sauerstoffgabe empfohlen – allgemein helfen Inhalationen, z.B. mit Kochsalzlösungen. Auch eine Physiotherapie mit Sekretmobilisation und Atemgymnastik kann sehr hilfreich sein.

Gefürchtete Komplikationen sind ein komplettes Versagen der Atmung (respiratorisches Versagen) oder eine Sepsis (Mehrfachorganversagen, im Volksmund auch «Blutvergiftung»). Ausserdem kann es im Verlauf einer Lungenentzündung zu einer komplizierenden Wasseransammlung in der Pleurahöhle (Pleuraerguss / Pleuraempyem) am Brustfell kommen, die zusätzlich behandelt werden muss.

Nein, nicht immer. Leichte Erkrankungen, vor allem bei Patientinnen und Patienten, die nicht zur weiter oben genannten Risikogruppen gehören, können auch ambulant behandelt werden. Anhand verschiedener objektiver Kriterien und Skalen entscheiden unsere Ärztinnen und Ärzte, ob eine ambulante Behandlung der Pneumonie mit vertretbarem Risiko möglich ist.

48 bis 72 Stunden nach Behandlungsbeginn sollte eine Besserung des Zustands eintreten. Dann kann im Spital meist von einer intravenösen auf eine orale Antibiotikatherapie umgestellt werden. Die Dauer des Spitalaufenthalts (falls einer notwendig ist) hängt von der Erholung des Patienten oder der Patientin und dessen bzw. deren Vorerkrankungen ab – meistens sind es drei bis zehn Tage.

Der Heilungsverlauf einer Lungenentzündung kann je nach Schweregrad von zwei Wochen bis hin zu drei Monaten dauern. Dabei ist es sehr wichtig, die Infektion richtig auszukurieren, damit diese nicht verschleppt wird.

Vor allem ältere Personen (Ü60), Personen mit chronischen Vorerkrankungen oder Personen mit chronischer Bronchitis nach langjährigem Rauchen.

(Bethesda Spital)

The specialists on the subject of pneumonia

The clinical picture of pneumonia falls under the specialism of our internal medicine department. Our experienced specialists will be happy to help you - let them advise you individually on the right internal medicine service for your needs.

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